Patient's question:
A 22-year-old female wants to ask an expert. I am one month pregnant. When I went to the toilet at night, I found light red blood in my underwear. The doctor at the hospital said it was threatened miscarriage. I would like to ask the following: If it really happens, will it lead to habitual miscarriage in the future? If I go to the hospital for an abortion now, will it be better? And if I want to carry this child to term, what should I pay attention to? Thank you for your answer.Doctor's answer:
Because abnormal development of the zygote or embryo is a major factor or cause of early miscarriage, active attempts to preserve the pregnancy are not recommended. In principle, after resting in bed and avoiding sexual activity, an ultrasound should be performed to assess the development of the embryo, and blood β-HCG and progesterone levels should be measured. If progesterone supplementation is needed, it should be based on hormonal medication principles: supplement the exact amount that is lacking, in sufficient quantity and duration, and then gradually reduce the dose once the required amount is replenished.Dr. An Tai (Maternity) strongly advises patients: If you have a history of induced abortion or medication abortion and experience signs of threatened miscarriage during this pregnancy, it is crucial to visit the hospital for ultrasound, HCG, and progesterone tests, in addition to more important tests for anti-embryonic antibodies. If these antibodies are outside the normal range, immunotherapy should be initiated. It is never too late to take corrective action. If this treatment fails, it can serve as a preparatory course for future immunotherapy.
If a miscarriage occurs, it is absolutely essential not to blindly undergo an induced abortion or medication abortion procedure, as this would miss the best opportunity to identify the underlying cause. Instead, a hysteroscopic embryo removal should be performed, with the embryo sent for pathology and chromosome analysis. The uterine cavity should also be examined to determine the cause or reason, avoiding a repeat of the same mistake.
If you have any further questions, you may call for detailed consultation.